Miscellaneous

Question 1

name the components of the mental state examination

Answer 1

appearance and behaviour

speech

mood and affect

thoughts

perception

cognition

insight

Question 2

what is psychosis?

Answer 2

when people perceive or interpret things differently from those around them

Question 3

what are the 2 types of antipsychotic medication

Answer 3

typicals- haloperidol

atypicals- risperidone, olanzapine

Question 4

typical antipsyhcotics tend to have what side effects

Answer 4

extra-pyramidal symptoms and signs

parkinsonism

Question 5

what do atypical anti psychotic tend to have as side effects

Answer 5

metabolic syndrome-

• obesity
• increased cholesterol
• diabetes
• hypertension

Question 6

what scale do you use to assess post partum mental health

Answer 6

edinburgh scale

Question 7

which SSRI has higher incidence of withdrawels

Answer 7

paroxetine

Question 8

what is this?

transient paralysis
occurs when awakening or falling asleep
can have hallucinations

Answer 8

sleep paralysis

Question 9

if taking clozapine…what do you need to check / watch out for?

Answer 9

FBC

can cause agranulocytosis

Question 10

what antidepressant should be taken post MI

Answer 10

sertaline

Question 11

anti psychotics caused an increased risk of what in the elderly

Answer 11

stroke

Question 12

in anorexia

are these high or low

GH
cortisol
cholseterol
glucose

Answer 12

high

Question 13

if on the pill, can you take st johns wort/

Answer 13

no

it reduced the effectiveness of the pill

Question 14

if on SSRI and an NSAID would else should you give

Answer 14

PPI as they have increased risk of GI bleed

Question 15

name some benzodiazepines

Answer 15

lorazepam
midazolam
loprazolam

Question 16

how do benzodiazepines work

Answer 16

increase GABA mediated inhibition

decrease anxiety
muscle relxation
anticonvulsant effect

Question 17

clinical uses of benzodiazepines

Answer 17

acute treatment of extreme axiety
hypnosis
alcohol withdrawel
mania
delerium
status epilepticus

Question 18

problems with benzodiazepines

Answer 18

can lead to tolerance and dependence

impaired cognition
paradoxial aggression

Question 19

to have a learning difficulty your IQ should be what?

Answer 19

<70

Question 20

why are psych problems more common in those with learning difficulties

Answer 20

organic vulnerability
social deprivation/disadvantage
life events
psychological reasons

schiz and depression are 3x more common!!

Question 21

what can a decrease in dopamine lead to?

Answer 21

parkinsons

Question 22

describe the relationship between dopamine and prolactin

Answer 22

dopamine restrains prolactin production

more dopamine = less prolactin

less dopamine = more prolactin (and parkinsons)

Question 23

excessive dopamine transmission is associated with..?

Answer 23

schizophrenia

Question 24

other name for a seretonin receptor?

Answer 24

5- HT receptor